| NPI | 1649474339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA PSY 7132) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA LEP 869) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-07-08 |